Endoscopic ultrasound-guided endoluminal drainage of the gallbladder

Jessica Widmer, Shashideep Singhal, Monica Gaidhane, Michel Kahaleh

Research output: Contribution to journalReview articlepeer-review

26 Scopus citations

Abstract

For patients with acute cholecystitis who are not suitable for surgery, endoscopic ultrasound-guided endoluminal drainage of the gallbladder (EUS-GBD) has been developed to overcome the limitations of percutaneous transhepatic gallbladder drainage when endoscopic transpapillary gallbladder drainage is not feasible. In the present review we have summarized the studies describing EUS-GBD. Indications, techniques, accessories, endoprostheses, limitations and complications reported in the different studies are discussed. There were 90 documented cases in the literature. The overall reported technical success rate was 87/90 (96.7%). All patients with technical success were clinically successful. A total of 11/90 (12.2%) patients had complications including pneumoperitoneum, bile peritonitis and stent migration. The advantage of EUS-GBD is its ability to provide gallbladder drainage especially in situations where percutaneous or transpapillary drainage is not feasible or is technically challenging. It also provides the option of internal drainage and the ability to carry out therapeutic maneuvers via cholecystoscopy.

Original languageEnglish (US)
Pages (from-to)525-531
Number of pages7
JournalDigestive Endoscopy
Volume26
Issue number4
DOIs
StatePublished - Jul 2014
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

Keywords

  • acute cholecystitis
  • endoscopic ultrasound-guided endoluminal drainage of the gallbladder (EUS-GBD)
  • stent

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